Jiayuan Chen
Publications
SafeMed-R1: Clinician-Audited Safety and Ethics Alignment for Medical Large Language Models
Large language models(LLMs) increasingly match expert performance on licensing examinations, yet routine clinical use remains limited because governance requires auditable reasoning, safety and ethics alignment, and resilience to adversarial misuse. Here we present SafeMed-R1, trained with a traceable Clinical Trust Signals(CTS) pipeline that links each reasoning instance to clinician rubric scores and edit histories, and aligned through safety and ethics supervision and red team stress testing. SafeMed-R1 attains a macro-averaged accuracy of 79.6% across clinical benchmarks. Under adversarial safety testing, it shows the lowest aggregated risk and reduces unsafe outputs by about 3 to 5% relative to its baseline. In a paired expert study of 30 medication safety vignettes, SafeMed-R1 matches PGY1 and PGY2 residents on medical correctness and scores higher for medication safety, guideline consistency, and clinical usefulness. Collectively, these results suggest that clinician-audited supervision provenance, together with domain-tailored safety and ethics alignment, can strengthen governance-relevant evidence without relying on inference-time retrieval or citation grounding.
Not Search, But Scan: Benchmarking MLLMs on Scan-Oriented Academic Paper Reasoning
With the rapid progress of multimodal large language models (MLLMs), AI already performs well at literature retrieval and certain reasoning tasks, serving as a capable assistant to human researchers, yet it remains far from autonomous research. The fundamental reason is that current work on academic paper reasoning is largely confined to a search-oriented paradigm centered on pre-specified targets, with reasoning grounded in relevance retrieval, which struggles to support researcher-style full-document understanding, reasoning, and verification. To bridge this gap, we propose \textbf{ScholScan}, a new benchmark for academic paper reasoning. ScholScan introduces a scan-oriented task setting that asks models to read and cross-check entire papers like human researchers, scanning the document to identify consistency issues. The benchmark comprises 1,800 carefully annotated questions drawn from nine error categories across 13 natural-science domains and 715 papers, and provides detailed annotations for evidence localization and reasoning traces, together with a unified evaluation protocol. We assessed 15 models across 24 input configurations and conducted a fine-grained analysis of MLLM capabilities for all error categories. Across the board, retrieval-augmented generation (RAG) methods yield no significant improvements, revealing systematic deficiencies of current MLLMs on scan-oriented tasks and underscoring the challenge posed by ScholScan. We expect ScholScan to be the leading and representative work of the scan-oriented task paradigm.